Thomas, Keyauna

Thomas, Keyauna is an individual health care provider with primary practice located at 987 Shady Lane , Glendora CA 91740. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thomas, Keyauna can be contacted via phone (626) 824-9019.

Contact Information

Primary practice address
987 Shady Lane Glendora CA 91740
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 129823 California

Profile Details

NPI number 1972029981
LBN Legal business name Thomas, Keyauna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2017
Last updated Jun 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972029981 NPPES
California MEDICAID 96947542D

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